This document discusses alcohol and its effects on teens. It provides information on what is contained in different types of alcohol, factors that influence alcohol absorption, reasons why teens drink, and how blood alcohol content affects individuals. Advertisements are aimed at making drinking seem problem-free and attractive to teens. The document warns that alcohol can negatively impact school, relationships, and goals for teens and that over 300,000 college students are at risk of alcohol-related death or dropping out due to drinking.
Alcoholism, also known as alcohol use disorder (AUD), is a broad term for any drinking of alcohol that results in mental or physical health problems. The disorder was previously divided into two types: alcohol abuse and alcohol dependence.
This Slide talks about alcohol, the good sides, the bad sides and understanding what the addicts are going through and how they can cure their addiction is a simple and easy to understand format
Uploader's Note:
The following Text, information and materials used in this presentation do not own by the uploader.
This presentation is all about Alcoholism-sign, effects, symptoms and treatment..
Special thanks to Mayo clinic organization for providing information for this presentation...
thank you.. and enjoy...
"keep moving forward"
Alcohol
ALCOHOL INTAKE
Rakkan Fagirah
Alcohol Beverages
Beer: is a mild intoxicant brewed by a mixture of grains and usually has 3-6% alcohol by volume.
Ales and Malt Liquor: They are also made by grains and similar to beer usually contains 6-8% per volume
Wines: It is made by fermenting the juice of fruits. And it has 9-14% per volume.
Hard Liquor: it is made by distilling fermented or brewed grains or other plants. Usually contains about 35-50%
Concentration of Alcohol
The concentration of Alcohol is indicated by it is Proof Value: which amounts to two times the percentage concentration. So if the beverage has an 80 proof, then it contains 40% alcohol by volume. So two ounces of an 80 proof Vodka it contains 80% alcohol.
Standard vs Actual Servings
The term one drink or a standard drink refers to a drink with an amount of 0.6 ounce of alcohol.
12-ounce bottle of beer.
8-ounce Malt liquor
5-ounce glass of a wine.
1.5-ounce shot of liquor.
Even though this is the standard servings size people tend to drink way more than that.
Calories content
Alcohol provides 7 calories per gram.
In a typical one drink there is 100-120 calories.
In regular beer there is 150 calories.
Light beer contains 100 calories.
5-ounce glass of wine contains 100 calories
3-ounce of Margarita contains 157 calories
6-Ounce of rum and coke contains about 180 calories
Absorption of Alcohol
When Alcohol ingested 20% of it is absorbed from the stomach.
75% is absorbed through the stomach and the upper part of the small Intestine
The rest is absorbed from the GI (Gastrointestinal)
The rate of absorption is affected by various factors:
Carbonation increases the rate.
Artificial sweeteners have the same affect
Food slows the rate absorption
Drinking high concentrated drinks also slows the rate of absorption
Alcohol Metabolism
Alcohol Metabolizes, transfers into usable and waste parts mainly in the liver.
Small amount of alcohol is metabolized in the stomach
2-10% of the alcohol excreted unchanged by the lungs, kidneys, and sweat glands.
Excreted alcohol causes the telltale to smell on a drinker’s breath and it is the basis analysis of a person’s breath and urine to tests the alcohol levels.
Blood Alcohol Concentration (BAC)
BAC: is the ratio of alcohol in a person’s blood by weight, or the percentage of alcohol measured in deciliter of blood.
It is affected by metabolizes 0.3 ounce of alcohol per hour.
The rate of alcohol metabolism is determined by genetic factors
and drinking behavior.
Although the rate of absorption can be affected by many factors the rate of Metabolism cannot be slowed.
A person can lower the rate of the BAC only by drinking over long period of time.
How to calculate BAC
https://www.youtube.com/watch?v=1C3TFjAGMVI
ALCOHOL AND HEALTH
Immediate and Long term affects
Mohammed Bantalal
Immediate affects
Low concentration:
It happens at a BAC of 0.03-0.05%:
Light Headedness
Relaxation
Release of inhib.
Alcoholism, also known as alcohol use disorder (AUD), is a broad term for any drinking of alcohol that results in mental or physical health problems. The disorder was previously divided into two types: alcohol abuse and alcohol dependence.
This Slide talks about alcohol, the good sides, the bad sides and understanding what the addicts are going through and how they can cure their addiction is a simple and easy to understand format
Uploader's Note:
The following Text, information and materials used in this presentation do not own by the uploader.
This presentation is all about Alcoholism-sign, effects, symptoms and treatment..
Special thanks to Mayo clinic organization for providing information for this presentation...
thank you.. and enjoy...
"keep moving forward"
Alcohol
ALCOHOL INTAKE
Rakkan Fagirah
Alcohol Beverages
Beer: is a mild intoxicant brewed by a mixture of grains and usually has 3-6% alcohol by volume.
Ales and Malt Liquor: They are also made by grains and similar to beer usually contains 6-8% per volume
Wines: It is made by fermenting the juice of fruits. And it has 9-14% per volume.
Hard Liquor: it is made by distilling fermented or brewed grains or other plants. Usually contains about 35-50%
Concentration of Alcohol
The concentration of Alcohol is indicated by it is Proof Value: which amounts to two times the percentage concentration. So if the beverage has an 80 proof, then it contains 40% alcohol by volume. So two ounces of an 80 proof Vodka it contains 80% alcohol.
Standard vs Actual Servings
The term one drink or a standard drink refers to a drink with an amount of 0.6 ounce of alcohol.
12-ounce bottle of beer.
8-ounce Malt liquor
5-ounce glass of a wine.
1.5-ounce shot of liquor.
Even though this is the standard servings size people tend to drink way more than that.
Calories content
Alcohol provides 7 calories per gram.
In a typical one drink there is 100-120 calories.
In regular beer there is 150 calories.
Light beer contains 100 calories.
5-ounce glass of wine contains 100 calories
3-ounce of Margarita contains 157 calories
6-Ounce of rum and coke contains about 180 calories
Absorption of Alcohol
When Alcohol ingested 20% of it is absorbed from the stomach.
75% is absorbed through the stomach and the upper part of the small Intestine
The rest is absorbed from the GI (Gastrointestinal)
The rate of absorption is affected by various factors:
Carbonation increases the rate.
Artificial sweeteners have the same affect
Food slows the rate absorption
Drinking high concentrated drinks also slows the rate of absorption
Alcohol Metabolism
Alcohol Metabolizes, transfers into usable and waste parts mainly in the liver.
Small amount of alcohol is metabolized in the stomach
2-10% of the alcohol excreted unchanged by the lungs, kidneys, and sweat glands.
Excreted alcohol causes the telltale to smell on a drinker’s breath and it is the basis analysis of a person’s breath and urine to tests the alcohol levels.
Blood Alcohol Concentration (BAC)
BAC: is the ratio of alcohol in a person’s blood by weight, or the percentage of alcohol measured in deciliter of blood.
It is affected by metabolizes 0.3 ounce of alcohol per hour.
The rate of alcohol metabolism is determined by genetic factors
and drinking behavior.
Although the rate of absorption can be affected by many factors the rate of Metabolism cannot be slowed.
A person can lower the rate of the BAC only by drinking over long period of time.
How to calculate BAC
https://www.youtube.com/watch?v=1C3TFjAGMVI
ALCOHOL AND HEALTH
Immediate and Long term affects
Mohammed Bantalal
Immediate affects
Low concentration:
It happens at a BAC of 0.03-0.05%:
Light Headedness
Relaxation
Release of inhib.
Presentation designed for incoming freshman at the University of Dallas. Corrects various myths held by college students regarding alcohol use and its consequences.
Reviews the effects of alcohol, binge drinking, signs of alcohol poisoning, Fetal Alcohol Syndrome and other effects. Continuing Education for mental health and substance abuse counselors and therapists.
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Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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2. What is in Alcohol
Ethanol
or Ethyl Alcohol
Flavoring
Minerals
Water
Beer, wine, and hard liquor (distilled spirits) all contain alcohol. The
following common alcoholic drinks contain equal amounts of alcohol and
are often referred to as a drink or a standard drink:
Proof is the amount of alcohol in hard liquor or distilled spirits. The
percentage of pure alcohol in the hard liquor is usually one-half the
proof. For example, a 100-proof liquor is about 50% pure alcohol. Thus,
the higher the proof, the more pure alcohol the hard liquor contains.
*Different beers
have different
alcohol content.
Malt liquor has
higher alcohol
content than most
other brewed
beverages.
It is important to
remember that not
all drinks are
created equal.
2
3. Alcohol and Teens
80% of teens have had at least one
alcoholic beverage.
Alcohol can have a negative impact
on school-work, athletics,
friendships, family, relationships,
and career goals.
3
4. Why Teens Drink
To escape pressure or problems
To feel better or get over being sad or lonely
To deal with stress and relax
To feel more self-confident in social situations
For excitement
Because their friends are doing it
To deal with boredom
To get away with something they are not
supposed to do
To fit in
4
5. Factors that Affect Teen
Alcohol Use
Pressure
Parents use it to solve problems/stress
Advertisements
– Young, handsome, attractive, fit and healthy
looking.
– A party like atmosphere with upbeat music.
– Healthful environment, beauty of the
outdoors.
– Problem free drinking
5
7. Factors that influence
alcohol’s effect!
How alcohol affects you is
different based on different
absorption rate factors, these
include:
Body Size: The bigger you are, the more
blood you have to dilute the alcohol in your
system. Smaller people are usually affected
more quickly by alcohol than larger people.
Gender: Women are generally
smaller than men, have a higher
percentage of body fat, and tend to
reach higher BAC’s more quickly.
7
8. Food: A full stomach slows the absorption of
alcohol into the bloodstream.
Strength of Drink: Drinks can have
different effects based on their composition, i.e.
carbonated beverages tend to increase the
absorption rate in alcohol.
Rate of Consumption: Gulping or chugging
drinks will increase the amount of alcohol
taken into your system. Also, the faster you
drink, the less time your body has to dilute the
alcohol.
Mood: A person who is obviously upset,
exhausted, or under a lot of stress feels the
effects of alcohol more quickly.
Woowho
D’oh!
8
9. Age: The body processes alcohol better
once the body is fully matured.
Day 1
Day 15
Day 365
Tolerance: The longer an
individual drinks, the more he or
she will need drink in order to get
the same desired effect.
Drug Use: Legal or illegal drugs can
speed up the effects of alcohol and
have an unpredictable outcome.
Body Composition: In general, the less
you weigh the more quickly alcohol will be
absorbed. However, for people of the same
weight, a person who has greater muscle
mass will absorb alcohol slower than
someone with a higher percentage of body
fat.
9
10. What is the only thing that
really determines how
DRUNK YOU ARE?
Alcohol is a lethal substance. Being knowledgeable about Blood Alcohol Content
will help you understand the effects of varying amounts of alcohol in your
system, and allow you to make informed decisions about drinking.
The standard way of measuring how much alcohol is in the blood stream is
Blood Alcohol Content (BAC) or Blood Alcohol Level (BAL). It can be
measured using blood, saliva, urine or breath and is measured in milligrams of
alcohol per 100 milliliters of blood, or milligrams percent.
For Example: A BAC of .10 means one-tenth of 1% or (1/1000) of your total
blood content is alcohol.
MALE
The following is a rough outline of
expected BAC's for a 150 lb. male on
an empty stomach after one hour:
2 drinks .05 BAC
4 drinks
.10 BAC
FEMALE
The following is a rough outline of
expected BAC's for a 120 lb. female
on an empty stomach after one
hour:
2 drinks .08 BAC
4 drinks
.17 BAC
10
11. How does BAC affect you!
.02-.03 % BAC: You are slightly light headed; inhibitions are loosened ( Missouri
defines .02% as legally drunk for those under 21 years of age).
.05%-.06 BAC: You’re warm and relaxed; you’re behavior may become exaggerated.
.08-.09% BAC: You are legally drunk; you may start to slur your speech, your sense of
balance is probably off, and your motor skills are becoming impaired.
.10%-.12% BAC: At this level, you feel euphoric, but you lack coordination and balance;
your motor skills are markedly impaired, as are your judgment and memory.
.14%-.17% BAC: Euphoric feelings may give way to unpleasant feelings; you have
difficulty talking, walking, or even standing; your judgment and perception are
severely impaired.
.20% BAC: You feel confused, dazed, or otherwise disoriented ; at this point you may
experience nausea and/or start vomiting; blackouts are likely.
.25% BAC: All mental, physical, and sensory functions are severely impaired; you're at
increased risk of asphyxiation from choking on vomit and of seriously injuring
yourself by falling or other accidents.
.30% BAC: You have little comprehension of where you are; you may suddenly pass out
--with an alarming BAC like .30%, your body will decide to pass out for you.
.35% BAC: This blood alcohol level is the level of surgical anesthesia; you may stop
breathing.
.40% BAC: You are probably in a coma. The nerve centers controlling your heartbeat
and respiration are slowing down.
11
12. Facts About Drinking!
According to the Core Institute, an organization that surveys college drinking
practices, 300,000 of today's college students will eventually die of alcoholrelated causes such as drunk driving accidents, cirrhosis of the liver, various
cancers and heart disease.
159,000 of today's first-year college students will drop out of school next year
for alcohol- or other drug-related reasons.
On a typical campus, the average amount a student spends annually on alcohol
is $466. College students as a whole spend $5.5 billion on alcohol (mostly beer).
This is more than they spend on books, soda, coffee, juice and milk combined.
Almost one-third of college students admit to having missed at least one class
because of their alcohol or drug use, and nearly one-quarter of students report
“bombing” a test or project because of the aftereffects of drinking or doing
drugs.
One night of heavy drinking can impair your ability to think abstractly for up
to 30 days, limiting your ability to relate textbook reading to what your
professor says, or to think through a football play.
Students who binge drink are more likely to damage property, have trouble
with authorities, miss classes, have hangovers, and experience injuries than
those who do not.
12